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CompletedNCT00878228PDNVUpdated Jan 31, 2013Results posted

Antiemetic Prophylaxis for Postdischarge Nausea and Vomiting After Hip Arthroscopy

A Phase 4 interventional study of Ondansetron and Placebo in Nausea and Vomiting, Postoperative, sponsored by Hospital for Special Surgery, New York. Completed at 1 site in United States. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2013-01-31.

Sponsored by Hospital for Special Surgery, New York · Phase 4, Interventional, and Treatment

Phase
Phase 4
Study type
Interventional
Enrollment
98
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
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Study summary

The study is a randomized placebo controlled trial to determine whether repeated postoperative prophylactic ondansetron ("Zofran") administration will prevent postoperative and/or postdischarge nausea and vomiting in patients undergoing ambulatory hip arthroscopy. Ondansetron will be administered in the intra- and post-operative period. These individuals will be followed on postoperative days 1, 2, and 3. It is hypothesized that the incidence of postdischarge nausea and vomiting (PDNV) will be significantly decreased by postoperative prophylactic administration of multiple doses of ondansetron (Zofran).

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Conditions studied

  • Nausea and Vomiting, Postoperative
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In context

Postoperative Nausea and Vomiting

629 studies on the registry are indexed under Postoperative Nausea and Vomiting; 113 are open to participants now.

This study's enrollment of 98 is below the median of 111 across 525 interventional studies indexed under Postoperative Nausea and Vomiting.

Browse Postoperative Nausea and Vomiting studies →

Lead sponsor

Hospital for Special Surgery, New York is the lead sponsor of 226 studies on the registry; 40 are open to participants now.

Of its 30 completed or terminated interventional studies of FDA-regulated products, 22 (73%) have results posted.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • All patients of Dr. Coleman or Dr. Kelly ages 18 to 65 undergoing arthroscopic hip surgery
  • Planned use of neuraxial anesthesia
  • Ability to follow study protocol
  • Willing to complete daily diary and be interviewed daily for three days after discharge

Exclusion criteria

Exclusion Criteria:

  • Patients younger than 18 years old and older than 65
  • Patients unable to undergo a spinal or epidural anesthetic
  • Having nausea or vomiting within 24 hours of the surgery
  • Receiving drugs with anti-emetic properties within 24 hours of the surgery (e.g Zofran, Compazine, Phenergan, Reglan)
  • Chronic opioid use (defined as daily or almost daily use of opioids for >3 months)
  • Hypersensitivity and/or allergy to ondansetron
  • Intraoperative use of any volatile anesthetic
  • Contraindication to a short course of NSAIDs (renal failure, intolerance)
  • Allergy or intolerance to Vicodin
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Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
98 participants (actual)

Study arms

  • Experimental
    Study Group

    The study group will receive intraoperative IV ondansetron and also postoperative oral ondansetron tablets (8 mg each day for two days).

    Drug: Ondansetron

  • Placebo comparator
    Control Group

    The control group will receive IV ondansetron intraoperatively and then oral placebo tablets (for 2 days).

    Drug: Placebo

Interventions

  • The study group will receive 4 mg of IV ondansetron perioperatively and also postoperative oral ondansetron tablets (8 mg each day for two days). The tablets will be concealed in generic capsules prepared by the pharmacy at the Hospital for Special Surgery to make the ondansetron tablets indistinguishable from the placebos.

    Also known as: Zofran

  • DrugPlacebo

    The control group will receive IV ondansetron intraoperatively and then oral placebo tablets (for 2 days). These placebo tablets will contain lactose and be indistinguishable from the study medication.

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What researchers measure

Primary outcomes

  1. Incidence of Nausea

    Percentage of participants with nausea

    Time frame: Postdischarge Day 1

Secondary outcomes

  1. Severity of Nausea

    Percentage of participants reporting moderate or severe nausea in the first 24 hours

    Time frame: Postdischarge Day 1

  2. Impact of Nausea and Vomiting on Quality of Life

    Percentage of participants whose quality of life was impacted by nausea and vomiting

    Time frame: Postdischarge Day 1

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Results

Posted Aug 28, 2012

Participant flow

Participant flow — Overall Study
MilestoneStudy GroupControl Group
Started4949
Completed3937
Not completed1012

Outcome measures

PrimaryIncidence of Nausea

Percentage of participants with nausea

Time frame:
Postdischarge Day 1
Reported as:
Number · percentage of participants
Incidence of Nausea
percentage of participantsStudy GroupControl Group
Incidence of Nausea4654
SecondarySeverity of Nausea

Percentage of participants reporting moderate or severe nausea in the first 24 hours

Time frame:
Postdischarge Day 1
Reported as:
Number · percentage of participants
Severity of Nausea
percentage of participantsStudy GroupControl Group
Severity of Nausea2332
SecondaryImpact of Nausea and Vomiting on Quality of Life

Percentage of participants whose quality of life was impacted by nausea and vomiting

Time frame:
Postdischarge Day 1
Reported as:
Number · percentage of participants
Impact of Nausea and Vomiting on Quality of Life
percentage of participantsStudy GroupControl Group
Impact of Nausea and Vomiting on Quality of Life1830

Adverse events

Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Study Group—0/49 (0%)0/49 (0%)
Control Group—0/49 (0%)0/49 (0%)

Baseline characteristics

Age Continuous
Age Continuous(years)Study GroupControl GroupTotal
Mean42 ± 1437 ± 1139 ± 13
Sex: Female, Male
Sex: Female, Male(Participants)Study GroupControl GroupTotal
Female181937
Male211839
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Study locations

1 site
  • Hospital for Special Surgery
    New York, New York 10021, United States
09

References and documents

Publications

  • Osoba D, Zee B, Warr D, Latreille J, Kaizer L, Pater J. Effect of postchemotherapy nausea and vomiting on health-related quality of life. The Quality of Life and Symptom Control Committees of the National Cancer Institute of Canada Clinical Trials Group. Support Care Cancer. 1997 Jul;5(4):307-13. doi: 10.1007/s005200050078. PubMed 9257427 ↗
  • Pan PH, Lee SC, Harris LC. Antiemetic prophylaxis for postdischarge nausea and vomiting and impact on functional quality of living during recovery in patients with high emetic risks: a prospective, randomized, double-blind comparison of two prophylactic antiemetic regimens. Anesth Analg. 2008 Aug;107(2):429-38. doi: 10.1213/ane.0b013e318172f992. PubMed 18633020 ↗
  • Gan TJ, Meyer TA, Apfel CC, Chung F, Davis PJ, Habib AS, Hooper VD, Kovac AL, Kranke P, Myles P, Philip BK, Samsa G, Sessler DI, Temo J, Tramer MR, Vander Kolk C, Watcha M; Society for Ambulatory Anesthesia. Society for Ambulatory Anesthesia guidelines for the management of postoperative nausea and vomiting. Anesth Analg. 2007 Dec;105(6):1615-28, table of contents. doi: 10.1213/01.ane.0000295230.55439.f4. PubMed 18042859 ↗
  • Apfel CC, Korttila K, Abdalla M, Kerger H, Turan A, Vedder I, Zernak C, Danner K, Jokela R, Pocock SJ, Trenkler S, Kredel M, Biedler A, Sessler DI, Roewer N; IMPACT Investigators. A factorial trial of six interventions for the prevention of postoperative nausea and vomiting. N Engl J Med. 2004 Jun 10;350(24):2441-51. doi: 10.1056/NEJMoa032196. PubMed 15190136 ↗
  • White PF, O'Hara JF, Roberson CR, Wender RH, Candiotti KA; POST-OP Study Group. The impact of current antiemetic practices on patient outcomes: a prospective study on high-risk patients. Anesth Analg. 2008 Aug;107(2):452-8. doi: 10.1213/ane.0b013e31817b842c. PubMed 18633023 ↗
  • White PF, Sacan O, Nuangchamnong N, Sun T, Eng MR. The relationship between patient risk factors and early versus late postoperative emetic symptoms. Anesth Analg. 2008 Aug;107(2):459-63. doi: 10.1213/ane.0b013e31817aa6e4. PubMed 18633024 ↗
  • Pavlin DJ, Chen C, Penaloza DA, Polissar NL, Buckley FP. Pain as a factor complicating recovery and discharge after ambulatory surgery. Anesth Analg. 2002 Sep;95(3):627-34, table of contents. doi: 10.1097/00000539-200209000-00025. PubMed 12198050 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 31, 2013, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT00878228
Responsible party
Sponsor
First posted
Apr 8, 2009
Start date
Apr 2009
Primary completion
Jan 2010
Completion
Feb 2010
Results posted
Aug 28, 2012
Last update
Jan 31, 2013

Study contacts

Jacques YaDeau, MD, PhD
principal investigator · Hosptial for Special Surgery

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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